Organization Active NPI

Your Home Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Holly Springs, NC
National Provider Identifier
1568482156
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
YOUR HOME PHYSICAL THERAPY, INC
Practice address
101 Bryce Meadow Dr
Holly Springs, NC 27540-6218
Phone
(919) 267-3114
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Douglas D Frie, MAPTNPI 1023038288
Title
President
Phone
(919) 267-3114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

101 Bryce Meadow Dr
Holly Springs, NC 27540-6218

Mailing address

101 Bryce Meadow Dr
Holly Springs, NC 27540-6218
Phone (919) 267-3114

Other identifiers 1

IdentifierTypeStateIssuer
2504248OtherNCMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1568482156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRYCE MEADOW DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406218",
            "telephone_number": "919-267-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRYCE MEADOW DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406218",
            "telephone_number": "919-267-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOME PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "FRIE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-267-3114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MAPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2504248",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.